Received on 11th Nov., 2014. Accepted on 29th Sept., 2015.1 Student2 ss. Professor

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Craniomandibiular disorders as a decision making factor on prosthetic treatment S. MICHOU1, M. KOKOTI2,Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki.

TOMA 2015; 43: 121 - 134

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Summary

The term craniomandibular disorders (CMD) includes avariety of clinical signs and symptoms affecting the normalfunction of masticatory muscles and temporomandibularjoints (TMJ). These specific signs and symbols are mainlycharacterized by constricted mandible movements, muscu-lar pain, headache, and sounds deriving from the TMJ.

The aim of this study was to present the impact of CMDboth on the treatment planning and on the clinical procedureof prosthetic rehabilitation. The papers employed for thispurpose were mainly clinical and epidemiological studies,as well as literature reviews, published form 1980 to 2014,written in English and Greek language.

After having conducted a literature review, it seems thatthe sings and symptoms as well as the previous CMD histo-ry modify the treatment planning of the prosthetic patientand variously affect the clinical stages of the prostheticrestoration. When it comes to the restoration, its type andprecise period of beginning, as well as the occlusion adopt-ed and the necessity or not of modification in the patientspre-existing vertical dimension are some of the main preoc-cupations that need to be taken into consideration duringtreatment planning. Particular attention should also be givento CMD patients especially when bruxism, arthropathy orlimited mouth opening is coexistent. In such cases, the pri-mary goal is to avoid the deterioration or the recurrence ofthe CMD symptoms, either during or after the process ofprosthetic rehabilitation. In order to achieve this goal, it issuggested that the restoration be conducted as simply aspossible, with the result of preventing the needless burden-ing of the patient.

KEY WORDS: craniomandibular disorders, prosthetic reha-bilitation, prosthetic patient, treatment planning

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